Totally implantable venous access ports: A prospective randomized study comparing subclavian and internal jugular vein punctures in children
Totally implantable venous access ports (TIVAPs) are essential in children who require long-term intermittent intravenous therapy. Patients who needed to undergo TIVAP implantation were randomly assigned to the internal jugular vein group or the subclavian vein group. The medical histories, operativ...
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| Veröffentlicht in: | Journal of pediatric surgery 2021-02, Vol.56 (2), p.317-323 |
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| container_title | Journal of pediatric surgery |
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| creator | Han, Liling Zhang, Jun Deng, Xiaobing Kong, XiangRu Yang, Chao Peng, Liang Kou, Chunyan Zou, Ke Lv, LinYa Li, ChangChun Wang, Shan Wei, GuangHui |
| description | Totally implantable venous access ports (TIVAPs) are essential in children who require long-term intermittent intravenous therapy.
Patients who needed to undergo TIVAP implantation were randomly assigned to the internal jugular vein group or the subclavian vein group. The medical histories, operative details and major complications from the time of port implantation to 48 h after port removal were collected.
During the use of TIVAPs, satisfaction surveys were regularly conducted for the children and guardians and compared in the two groups.
A total of 216 patients in the subclavian vein group and 199 patients in the internal jugular vein group were included. TIVAPs were successfully implanted in all children. The incidence of postoperative venous access occlusion in the subclavian vein group and internal jugular vein group was 1.5% and 5%, respectively, and the difference was statistically significant (P |
| doi_str_mv | 10.1016/j.jpedsurg.2020.04.021 |
| format | Article |
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Patients who needed to undergo TIVAP implantation were randomly assigned to the internal jugular vein group or the subclavian vein group. The medical histories, operative details and major complications from the time of port implantation to 48 h after port removal were collected.
During the use of TIVAPs, satisfaction surveys were regularly conducted for the children and guardians and compared in the two groups.
A total of 216 patients in the subclavian vein group and 199 patients in the internal jugular vein group were included. TIVAPs were successfully implanted in all children. The incidence of postoperative venous access occlusion in the subclavian vein group and internal jugular vein group was 1.5% and 5%, respectively, and the difference was statistically significant (P < 0.05). The average satisfaction score of the children and guardians in the subclavian vein group was 9.6 ± 0.3, and that in the internal jugular vein group was 8.3 ± 0.8. There was a significant difference between the 2 groups (P < 0.05).
Subclavian vein should be the first choice for TIVAP implantation in children.
Treatment study level I.
•Subclavian vein TIVAPs have few postoperative complications and demonstrate high postoperative comfort in children.•We reported a new surgical method for skin infection around the port or the pocket.•We reported a method that can effectively avoid pinch-off syndrome which occurred in subclavian vein TIVAPs.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2020.04.021</identifier><identifier>PMID: 32467037</identifier><language>eng</language><publisher>PHILADELPHIA: Elsevier Inc</publisher><subject>Central venipuncture ; Internal jugular vein ; Life Sciences & Biomedicine ; Pediatrics ; Pinch-off syndrome ; Science & Technology ; Subclavian vein ; Surgery ; Totally implantable venous access ports</subject><ispartof>Journal of pediatric surgery, 2021-02, Vol.56 (2), p.317-323</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>7</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000616821600021</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c368t-881e994884b8e8cd14f8668cb11fcadd279ae490d0af30212a9f34ec3fd75bfe3</citedby><cites>FETCH-LOGICAL-c368t-881e994884b8e8cd14f8668cb11fcadd279ae490d0af30212a9f34ec3fd75bfe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpedsurg.2020.04.021$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,782,786,3552,27931,27932,39265,46002</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32467037$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Han, Liling</creatorcontrib><creatorcontrib>Zhang, Jun</creatorcontrib><creatorcontrib>Deng, Xiaobing</creatorcontrib><creatorcontrib>Kong, XiangRu</creatorcontrib><creatorcontrib>Yang, Chao</creatorcontrib><creatorcontrib>Peng, Liang</creatorcontrib><creatorcontrib>Kou, Chunyan</creatorcontrib><creatorcontrib>Zou, Ke</creatorcontrib><creatorcontrib>Lv, LinYa</creatorcontrib><creatorcontrib>Li, ChangChun</creatorcontrib><creatorcontrib>Wang, Shan</creatorcontrib><creatorcontrib>Wei, GuangHui</creatorcontrib><title>Totally implantable venous access ports: A prospective randomized study comparing subclavian and internal jugular vein punctures in children</title><title>Journal of pediatric surgery</title><addtitle>J PEDIATR SURG</addtitle><addtitle>J Pediatr Surg</addtitle><description>Totally implantable venous access ports (TIVAPs) are essential in children who require long-term intermittent intravenous therapy.
Patients who needed to undergo TIVAP implantation were randomly assigned to the internal jugular vein group or the subclavian vein group. The medical histories, operative details and major complications from the time of port implantation to 48 h after port removal were collected.
During the use of TIVAPs, satisfaction surveys were regularly conducted for the children and guardians and compared in the two groups.
A total of 216 patients in the subclavian vein group and 199 patients in the internal jugular vein group were included. TIVAPs were successfully implanted in all children. The incidence of postoperative venous access occlusion in the subclavian vein group and internal jugular vein group was 1.5% and 5%, respectively, and the difference was statistically significant (P < 0.05). The average satisfaction score of the children and guardians in the subclavian vein group was 9.6 ± 0.3, and that in the internal jugular vein group was 8.3 ± 0.8. There was a significant difference between the 2 groups (P < 0.05).
Subclavian vein should be the first choice for TIVAP implantation in children.
Treatment study level I.
•Subclavian vein TIVAPs have few postoperative complications and demonstrate high postoperative comfort in children.•We reported a new surgical method for skin infection around the port or the pocket.•We reported a method that can effectively avoid pinch-off syndrome which occurred in subclavian vein TIVAPs.</description><subject>Central venipuncture</subject><subject>Internal jugular vein</subject><subject>Life Sciences & Biomedicine</subject><subject>Pediatrics</subject><subject>Pinch-off syndrome</subject><subject>Science & Technology</subject><subject>Subclavian vein</subject><subject>Surgery</subject><subject>Totally implantable venous access ports</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><recordid>eNqNkc1uEzEUhUcIREPhFSovkdAMtsdxPKyoIihIldiUteWx7wRHHnvwT1B4Bh4at0m7hZX_vnOtc07TXBHcEUz4-323X8CkEncdxRR3mHWYkmfNiqx70q5xv3nerDCmtO0ZFxfNq5T2GNdrTF42Fz1lfFMPq-bPXcjKuSOy8-KUz2p0gA7gQ0lIaQ0poSXEnD6ga7TEkBbQ2R4AReVNmO1vMCjlYo5Ih3lR0fodSmXUTh2s8qhCyPoM0SuH9mVXnIp1uvVoKV7nEiHVd6R_WGci-NfNi0m5BG_O62Xz_fOnu-2X9vbbzdft9W2rey5yKwSBYWBCsFGA0IawSXAu9EjIpJUxdDMoYAM2WE19TYWqYeoZ6H4ym_U4QX_ZvD3NrY5-FkhZzjZpcDUAqMYlZViQgQ-MVZSfUF3NpwiTXKKdVTxKguV9E3IvH5uQ901IzGT9swqvzn-UcQbzJHuMvgLvTsAvGMOUtAWv4QmrXXHCBSW87h7Gif-ntzarbIPfhuJzlX48SaFGerAQ5VlubKxtShPsv8z8BXVbwtY</recordid><startdate>202102</startdate><enddate>202102</enddate><creator>Han, Liling</creator><creator>Zhang, Jun</creator><creator>Deng, Xiaobing</creator><creator>Kong, XiangRu</creator><creator>Yang, Chao</creator><creator>Peng, Liang</creator><creator>Kou, Chunyan</creator><creator>Zou, Ke</creator><creator>Lv, LinYa</creator><creator>Li, ChangChun</creator><creator>Wang, Shan</creator><creator>Wei, GuangHui</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202102</creationdate><title>Totally implantable venous access ports: A prospective randomized study comparing subclavian and internal jugular vein punctures in children</title><author>Han, Liling ; Zhang, Jun ; Deng, Xiaobing ; Kong, XiangRu ; Yang, Chao ; Peng, Liang ; Kou, Chunyan ; Zou, Ke ; Lv, LinYa ; Li, ChangChun ; Wang, Shan ; Wei, GuangHui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-881e994884b8e8cd14f8668cb11fcadd279ae490d0af30212a9f34ec3fd75bfe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Central venipuncture</topic><topic>Internal jugular vein</topic><topic>Life Sciences & Biomedicine</topic><topic>Pediatrics</topic><topic>Pinch-off syndrome</topic><topic>Science & Technology</topic><topic>Subclavian vein</topic><topic>Surgery</topic><topic>Totally implantable venous access ports</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Han, Liling</creatorcontrib><creatorcontrib>Zhang, Jun</creatorcontrib><creatorcontrib>Deng, Xiaobing</creatorcontrib><creatorcontrib>Kong, XiangRu</creatorcontrib><creatorcontrib>Yang, Chao</creatorcontrib><creatorcontrib>Peng, Liang</creatorcontrib><creatorcontrib>Kou, Chunyan</creatorcontrib><creatorcontrib>Zou, Ke</creatorcontrib><creatorcontrib>Lv, LinYa</creatorcontrib><creatorcontrib>Li, ChangChun</creatorcontrib><creatorcontrib>Wang, Shan</creatorcontrib><creatorcontrib>Wei, GuangHui</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Han, Liling</au><au>Zhang, Jun</au><au>Deng, Xiaobing</au><au>Kong, XiangRu</au><au>Yang, Chao</au><au>Peng, Liang</au><au>Kou, Chunyan</au><au>Zou, Ke</au><au>Lv, LinYa</au><au>Li, ChangChun</au><au>Wang, Shan</au><au>Wei, GuangHui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Totally implantable venous access ports: A prospective randomized study comparing subclavian and internal jugular vein punctures in children</atitle><jtitle>Journal of pediatric surgery</jtitle><stitle>J PEDIATR SURG</stitle><addtitle>J Pediatr Surg</addtitle><date>2021-02</date><risdate>2021</risdate><volume>56</volume><issue>2</issue><spage>317</spage><epage>323</epage><pages>317-323</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>Totally implantable venous access ports (TIVAPs) are essential in children who require long-term intermittent intravenous therapy.
Patients who needed to undergo TIVAP implantation were randomly assigned to the internal jugular vein group or the subclavian vein group. The medical histories, operative details and major complications from the time of port implantation to 48 h after port removal were collected.
During the use of TIVAPs, satisfaction surveys were regularly conducted for the children and guardians and compared in the two groups.
A total of 216 patients in the subclavian vein group and 199 patients in the internal jugular vein group were included. TIVAPs were successfully implanted in all children. The incidence of postoperative venous access occlusion in the subclavian vein group and internal jugular vein group was 1.5% and 5%, respectively, and the difference was statistically significant (P < 0.05). The average satisfaction score of the children and guardians in the subclavian vein group was 9.6 ± 0.3, and that in the internal jugular vein group was 8.3 ± 0.8. There was a significant difference between the 2 groups (P < 0.05).
Subclavian vein should be the first choice for TIVAP implantation in children.
Treatment study level I.
•Subclavian vein TIVAPs have few postoperative complications and demonstrate high postoperative comfort in children.•We reported a new surgical method for skin infection around the port or the pocket.•We reported a method that can effectively avoid pinch-off syndrome which occurred in subclavian vein TIVAPs.</abstract><cop>PHILADELPHIA</cop><pub>Elsevier Inc</pub><pmid>32467037</pmid><doi>10.1016/j.jpedsurg.2020.04.021</doi><tpages>7</tpages></addata></record> |
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| subjects | Central venipuncture Internal jugular vein Life Sciences & Biomedicine Pediatrics Pinch-off syndrome Science & Technology Subclavian vein Surgery Totally implantable venous access ports |
| title | Totally implantable venous access ports: A prospective randomized study comparing subclavian and internal jugular vein punctures in children |
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